NURS 8114 Discussion: Framing a Practice Problem as a Critical Question With Measurable Outcomes
One of the major focuses of the healthcare setting is to ensure that patients are safe and that the services offered to them are of good standard and quality. However, there are usually numerous challenges that threaten the safety of patients and the quality of service. As such, various strategies such as quality improvement and evidence-based practice projects (Balakrishnan, et al., 2019). The clinical issue. Therefore, this discussion focuses on a practice problem. In addressing the problem, various articles will be summarized, and an explanation of the critical question and the value of addressing it will all be explored.
The identified practice problem for this discussion is nurse burnout. Nurses play a critical role in patient care as, through collaboration with other healthcare professionals, they ensure that the patients have better outcomes. Nurse burnout occurs when there is an emotional, physical, and mental exhaustion resulting from work-connected stressors such as strain resulting from offering care to patients having poor outcomes, the pressure coming from the need to make quick decisions, and long hours of work (Kelly et al., 2021). Nurses experiencing burnout may begin by feeling detached and disengaged. Nurse burnout affects both the nurses and the patients. While it may lead to feelings of depression, hopelessness, and cynicism among nurses, the problem can result in lower quality of patient care. Nurses in such a state are likely to cause medical errors that endanger patients’ safety and life and may lead to death. Nurse burnout has also been shown to lead to other various undesirable situations such as increased staff turnover. High staff turnover has negative financial impacts on the organization (Kelly et al., 2021). In addition, nurse burnout has been associated with increased mortality.
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The adverse impacts of nurse burnout imply that there is a need to come up with more robust strategies to address the situation. Indeed, the issue has attracted the attention of various stakeholders and researchers. While some researchers have focused on the possible causes of nurse burnout in the clinical setting, others have explored various ways of preventing, identifying, and managing nurse burnout. The implication is that today, various strategies of preventing and managing nurse burnout exist.
In one of such reports, Carthon et al., 2021, recently conducted research that aimed at examining the connection between patient satisfaction and nurse burnout. They also explored the connection between the outcomes and the work environment. These researchers performed a cross-sectional analysis of close to five hundred hospitals and found out that up to fifty percent of healthcare facilities that experienced high rates of nurse burnout also had poor work conditions and environment, a combination that led to reduced patient satisfaction (Carthon et al., 2021). Therefore, these writers suggest that for improved patient outcomes and lowered cases of nurse burnout, healthcare facilities need to invest in the work environments to improve them.
Wei et al., 2017 also conducted a study with the aim of evaluating whether an active intervention can lower nurse burnout and improve their performance in the emergency department. The study had both the intervention and the control group. Whereas the control group received ordinary management, the intervention group had both the ordinary management couples with comprehensive management. Upon analysis of the results, they noted that all the applied comprehensive management substantially led to decreased depersonalization and emotional exhaustion. The authors, therefore, indicated that integrating active intervention and comprehensive management is key.
Balakrishnan, K., Brenner, M. J., Gosbee, J. W., & Schmalbach, C. E. (2019). Patient safety/quality improvement primer, part II: prevention of harm through root cause analysis and action (RCA2). Otolaryngology–Head and Neck Surgery, 161(6), 911-921. https://doi.org/10.1177%2F0194599819878683
Carthon, J. M. B., Hatfield, L., Brom, H., Houton, M., Kelly-Hellyer, E., Schlak, A., & Aiken, L. H. (2021). System-level improvements in work environments lead to lower nurse burnout and higher patient satisfaction. Journal of nursing care quality, 36(1), 7-13. Doi: 10.1097/NCQ.0000000000000475.
Kelly, L. A., Gee, P. M., & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nursing outlook, 69(1), 96-102. https://doi.org/10.1016/j.outlook.2020.06.008
Wei, R., Ji, H., Li, J., & Zhang, L. (2017). Active intervention can decrease burnout in ED nurses. Journal of emergency nursing, 43(2), 145-149. https://doi.org/10.1016/j.jen.2016.07.011